Organization Active NPI

Homecare Resources, LLC

  • Durable Medical Equipment & Medical Supplies
  • Plymouth, WI
National Provider Identifier
1013991710
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
004000231403501 Issued in WI
Legal business name
HOMECARE RESOURCES, LLC
Practice address
1442A Pilgrim Rd
Plymouth, WI 53073-4969
Phone
(920) 892-7373
Fax
(920) 892-7272
NPI assigned
Dec 6, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mary L Dalton
Title
Administrator
Phone
(920) 892-7373

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 004000231403501 WI Primary

Addresses

Primary practice location

1442A Pilgrim Rd
Plymouth, WI 53073-4969

Mailing address

1442A Pilgrim Rd
Plymouth, WI 53073-4969
Phone (920) 892-7373

Other identifiers 1

IdentifierTypeStateIssuer
41751200MedicaidWI

National Provider Directory

National Provider Directory

Locations

1442A Pilgrim Rd
Plymouth, WI 53073
Phone (920) 892-7373

1139 N 26th St
Sheboygan, WI 53081
Phone (920) 458-5768

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013991710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1442A PILGRIM RD",
            "city": "PLYMOUTH",
            "state": "WI",
            "postal_code": "530734969",
            "telephone_number": "920-892-7373",
            "fax_number": "920-892-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1442A PILGRIM RD",
            "city": "PLYMOUTH",
            "state": "WI",
            "postal_code": "530734969",
            "telephone_number": "920-892-7373",
            "fax_number": "920-892-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMECARE RESOURCES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DALTON",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "920-892-7373"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WI",
            "license": "004000231403501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "41751200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.